| NPI | 1518246636 |
|---|---|
| Former Name | SHELIA M MONTGOMERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TX 34693) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2011-08-07 |
| Last Update Date | 2011-08-07 |